Welcome to Erwin Group, LLC
We are happy to welcome you to the Erwin Group as an Independent Contractor. Please fill out this form to proceed with the interview.Please be aware that the package of documents may vary depending on the state you are located in, or depending on other cases. Your HR agent will let you know if additional documentation is required.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will you be operating the vehicle?
*
YES
I have a driver working for me
I work in the team with another driver
Driver License Picture (Front you and your driver)*
*
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Driver License Picture (Back you and your driver)*
*
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Company Name (N/A if it's not applicable)
*
10-Year Certified Driving Record or Complete Driving History (click either link below to obtain your MVR-https://www.starpointscreening.com/driver/driver-motor-vehicle-records/ https://references-etc.com/online-driving-records/order-driving-record-detail
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(different states may have various specific names, but this should be clear to the DMV). Covered Period: The driving record should cover at least the past 10 years. If this is not available, the longest available period from your state's DMV is acceptableDriving records from Starpoint, 4safedrivers, and other websites, that are not official DMV, are NOT acceptable. To avoid future expenses please attach correct driving record.
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Picture of SSN
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What kind of vehicle do you have?
*
Sprinter Van (Under 10,000 LB GVWR )
Small Straight Truck (Under 10,000 LB GVWR )
24 or 26ft Box Truck
Flatbed
Hotshot
Dry Van
Power Only
Other
Year of the vehicle
*
Make
*
Model of the vehicle
Picture of equipment Front
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Picture of equipment Back
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Picture of equipment Right Side
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Picture of equipment Left Side
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Equipment to secure the load (straps, e-tracks)
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Picture of the Plate
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Vehicle Registration
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Medical DOT Card
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COI: Automobile Liability(Combined Single Limit) – 1 000 000 ;Cargo Limit – 100 000;Vehicle's VIN indicated in COI; List company below indicated as Additional Insured & Certificate Holders : Name - Bronpe LLC | Address - 481 Metropolitan St. Aurora, IL 60502
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Be sure the following information is included in the Certificate of insurance and also in the Declarations page of your policy*Policy Holder: Please ensure the insurance is in your name or your company name.
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Cargo / Sprinter Vans THIS SECTION IS VERY IMPORTANT
Every other equipment please sign at the end
Cargo Area Length [Add Length in inches]
FOR CARGO/SPRINTER VANS ONLY:
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Picture showing how the vehicle's length is measured.*Take a picture as the sample below. We need to see the start and end point of the measurement.
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Cargo Area Width (between the rear wheels) [Add Width in inches]
Picture showing how the vehicle's width is measured.* Take a picture as the sample below
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Picture showing how the vehicle's height is measured.* Take a picture as the sample below.
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Cargo Area Height (door clearance)*[Add Height in inches]
Vehicle Specifications Sticker*GVWR under, 10.000LB
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Payload [Maximum Weight Vehicle Can Carry]
Emergency Contact 1 Name and Number
*
Emergency Contact 2 Name and Number
*
Emergency Contact 3 Name and Number
*
Thank you!
After you press SUBMIT you will be directed to your Onboarding Packet to sign
Submit
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